Consultation Form

I appreciate your interest in my work!

I do all of my consultations via email. This is why it's essential to read the following for your best chance to get your tattoo selected.

You will see the design on the day of your appointment. We can make any slight changes then. You must resubmit a new booking form for approval if you want to change your idea.

I can't wait to work with you!

- Regina
Most of your questions can be answered on Gold Leaf Ink in the FAQ.

Please read through them thoroughly before submitting this form.
I don't do the following tattoos because they tend not to heal well:

Lips, fingers, palms, and side of hands tattoos.

Behind-the-ear or on-the-ear tattoos.

All white tattoos.

*Cover ups and add-ons to other artists' work are taken on a case by case basis. I'm happy to do it, if it makes sense and will look good.
Please fill out the form below in its entirety.

Incomplete forms will go unanswered. We want you to be successful because we love you!
Consultation Form:

This is your online consultation!
Full Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Are you a return client?
Placement Location:
For example: Upper/outer arm, lower/outside leg, inner or outer forearm, left shoulder etc.
Please submit a clear and recent photo of the area you would like to get tattooed. THIS SHOULD BE OF YOUR OWN BODY.

All photos will remain private. Make any edits you see fit in order to ensure your comfort and privacy.
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Tattoo size, in inches by inches:
Example: 8" tall x 5" wide, or offer a range. A full sleeve is an entire arm, all the way around. A half sleeve is the entire top or bottom half of the arm, all the way around.
Describe your tattoo idea, be brief but specific:
For example: If you want flowers, what kinds of flowers etc.
Please include a photo of Regina's work that best shows the style of tattoo you want.

A rough sketch, or pictures that show a similar style, or idea that you like.
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Reference Photo:

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Reference Photo:

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Reference Photo:

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Days Preferred:
Times that work best for you:
If you have specific dates you'd like to get tattooed, please add them here.
If you have no conflicts enter: none, or N/A.
If you have specific dates that you cannot get tattooed, please add them here.
If you have no conflicts enter: none, or N/A.
Once your form is received, my Booking Manager (Rachel) will contact you if she has any questions.

If your project is accepted, we will contact you and include instructions on how to book your appointment.

Due to the volume of requests, if your idea does not fit Reginas' current body of work or if you did not complete the booking form correctly, you will not receive a response.

Thank you!
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Consultation Form: